Using the Social Determinants of Health as a Framework to Examine and Address Predictors of Depression in Later Life

被引:16
作者
Cross-Denny B. [1 ]
Robinson M.A. [2 ]
机构
[1] Social Work Department, Sacred Heart University, 5151 Park Avenue, Fairfield, 06825, CT
[2] University Georgia School of Social Work, 279 Williams St., Athens, 30602, GA
关键词
Aging in place; Depression; Neighborhood; Older adults; Social determinants of health;
D O I
10.1007/s12126-017-9278-6
中图分类号
学科分类号
摘要
Depression in later life is an important public health concern. Comprehensive assessments incorporating all key areas of the social determinants of health (SDOH) framework can assist in developing effective interventions to ensure mental health for the increasing older adult population. This study uses the SDOH model for identifying, evaluating, and addressing risk factors that contribute to depression in older adults. Secondary data analysis of the Health and Retirement Study was used to conduct a hierarchical multiple regression analysis to examine predictors of depression in later life. The SDOH key areas were used as a framework for the regression model. The main findings showed predictors of depression were health and social support, emphasizing the importance of aging in place. Implications for practice include the provision of services within the home, neighborhood, and community to maintain older adults within the least restrictive environments where they can maximize healthy living and continue to maintain connections with their social support networks. © 2017, Springer Science+Business Media New York.
引用
收藏
页码:393 / 412
页数:19
相关论文
共 93 条
[21]  
Cutrona C., Russell D., Rose J., Social support and adaptation to stress by the elderly, Psychology and Aging, 1, pp. 47-54, (1986)
[22]  
Diefenbach G.J., Disch W.B., Robison J.T., Baez E., Coman E., Anxious depression among Puerto Rican and African-American older adults, Aging & Mental Health, 13, 1, pp. 118-126, (2009)
[23]  
Dozeman E., van Marwijk H.W.J., van Schaik D.J.F., Stek M.L., van der Horst H.E., Beekman A.T.F., van Hout H.P., High incidence of clinically relevant depressive symptoms in vulnerable persons of 75 years or older living in the community, Aging & Mental Health, 14, 7, pp. 828-833, (2010)
[24]  
Edwards M.C., Cheavens J.S., Heiy J.E., Cukrowicz K.C., A reexamination of the factor structure of the center for epidemiologic studies depression scale: is a one-factor model plausible?, Psychological Assessment, 22, 3, pp. 711-715, (2010)
[25]  
Evans S., That lot up there and us down here”: social interaction and a sense of community in a mixed tenure UK retirement village, Ageing and Society, 29, 2, pp. 199-216, (2009)
[26]  
Falcon L.M., Todorova I., Tucker K., Social support, life events, and psychological distress among the Puerto Rican population in the Boston area of the United States, Aging & Mental Health, 13, 6, pp. 863-873, (2009)
[27]  
(2012), (2012)
[28]  
Ferguson S., Goodwin A., Optimism and well-being in older adults: the mediating role of social support and perceived control, The International Journal of Aging and Human Development, 71, 1, pp. 43-68, (2010)
[29]  
Frauenholtz S., Responding to the affordable care act: a leadership opportunity for social workers in employee assistance programs, Health & Social Work, 39, 3, pp. 153-160, (2014)
[30]  
Greenfield E.A., Scharlach A.E., Lehning A.J., Davitt J.K., Graham C.L., A tale of two community initiatives for promoting aging in place: similarities and differences in the national implementation of NORC programs and villages, The Gerontologist, 53, 6, pp. 928-938, (2013)